| NPI | 1578536694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NM MD2014-0995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 014356) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NM MD2014-0995) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2016-12-21 |